Many individuals wonder about the possibility of choking on a dental retainer during sleep. While this concern can be unsettling, a properly fitted retainer poses a very low risk. This article clarifies the realities of retainer use and safety during sleep.
Is Choking on a Retainer Possible?
Choking on a retainer while sleeping is extremely rare for a properly fitted retainer. Retainers are too large and uniquely shaped to easily enter the trachea. The body’s gag reflex, an involuntary response, prevents foreign bodies from entering the airway.
If a retainer dislodges during sleep, natural reflexes would likely cause a person to wake up coughing or gagging, expelling the object. Swallowing a retainer, while uncommon, is more plausible than choking, as it passes into the digestive tract. Even if swallowed, retainers typically pass through the digestive system without complication, though monitoring is advised.
Different Retainer Types and Their Risks
Retainers come in various forms with distinct designs. Hawley retainers, with a metal wire and acrylic base, are custom-molded to fit the palate or tongue side of the teeth. Clear plastic retainers are thin, transparent trays that fit snugly over the teeth. Both types are removable and designed for a tight, custom fit, which significantly reduces accidental dislodgement during sleep.
Fixed or bonded retainers consist of a thin wire permanently attached to the back of the front teeth. As these are not removable, they carry virtually no risk of being swallowed or causing choking. A broken or ill-fitting removable retainer might increase dislodgement risk, but the body’s reflexes usually prevent choking.
Reducing Your Risk
Maintaining proper retainer fit and condition is important for safety and effectiveness. Regularly inspect your retainer for cracks, damage, or changes in fit. A damaged retainer should not be worn, especially overnight, and requires orthodontist assessment. Daily cleaning prevents plaque and bacteria buildup, which can affect fit and hygiene.
Remove retainers when eating or drinking anything other than water, as chewing can dislodge or damage them. Store the retainer in its protective case when not in use to prevent loss or damage. If your retainer feels loose or uncomfortable, consult your orthodontist to ensure correct fit and adequate retention.
Recognizing and Responding to an Incident
While retainer incidents are rare, knowing how to respond provides peace of mind. Signs of choking, indicating airway obstruction, include inability to breathe, forceful coughing, gasping for air, or a change in skin color. Immediate medical attention is necessary if these signs appear.
If a retainer is suspected to be swallowed, symptoms may include a sore throat, difficulty swallowing, or mild abdominal discomfort. Contact an orthodontist or healthcare professional to determine next steps, which may include monitoring or imaging. Avoid inducing vomiting if a retainer has been swallowed, as this could cause further injury.